Individual
WILLIEMAE WILLIAMS-CALLAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 VIRGINIA PL, FAYETTEVILLE, GA 30214-3161
(404) 234-6652
Mailing address
120 VIRGINIA PL, FAYETTEVILLE, GA 30214-3161
(404) 234-6652
Taxonomy
Speciality
Code
Description
License number
State
374T00000X
Religious Nonmedical Nursing Personnel
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000
N/A
—
Enumeration date
08/15/2019
Last updated
08/15/2019
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